Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $9.77 / $13.49	Facility	26	$8.13	$9.77	$13.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $120.23	Professional		$23.99	$33.11	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $9.12 / $27.54	Professional	26	$6.46	$9.12	$27.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $20.89 / $38.02	Professional	TC	$16.98	$20.89	$38.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.50 / $33.11	Professional		$16.98	$19.50	$33.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $7.41 / $10.47	Professional	26	$5.62	$7.41	$10.47
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $23.99 / $23.99	Professional	TC	$23.99	$23.99	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $66.07 / $100.00	Professional		$24.55	$66.07	$100.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $12.59 / $19.05	Professional	26	$7.41	$12.59	$19.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $53.70 / $81.28	Professional	TC	$16.60	$53.70	$81.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $18.62 / $30.20	Professional		$7.24	$18.62	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $40.74 / $83.18	Professional		$24.55	$40.74	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $17.38	Professional	26	$7.08	$10.00	$17.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $28.84 / $61.66	Professional	TC	$18.20	$28.84	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $63.10	Professional		$23.99	$32.36	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $8.51 / $14.45	Professional	26	$6.46	$8.51	$14.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.44 / $48.98	Professional	TC	$16.98	$23.44	$48.98